[Detecting and measuring functional and organic disease in general population: Development and validation of TOPYPS clinical scale].

ABSTRACT:

Objective

To develop and validate the TOPYPS scale, an instrument designed to: (i)detect with a high degree of suspicion the most frequent functional pathologies according to standard diagnostic criteria, and (ii)to assess the physical health in the general population quickly, comprehensive and reliable.

Design

Validation of a scale.

Location

Primary Care Centre, Barcelona.

Participants

The scale was administered to 67 randomly selected adults.

Measurements

TOPYPS scale was administered to 67 adults randomly selected from a primary care setting in Barcelona, Spain. TOPYPS has six sections based on body systems, each one scored according to the degree of interference in daily activity, type of treatment received, and prognostic of the reported illnesses in each section. Test-retest reliability completions were on two separate occasions one week apart. Validity was then tested by comparing the results with the clinical examination conducted by two different specialists in general practice (gold standard).

Results

Repeatability (test-retest) and inter-rater agreement for each of the six sections and for the total score were satisfactory. Validity was acceptable both for content and construct, according to their correlation with the gold standard.

Conclusions

TOPYPS displayed good psychometrical properties. It is a suitable tool to detect and measure functional and organic diseases in general population.

SUBMITTER: Pailhez G 

PROVIDER: S-EPMC6876013 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature